The ethics of “primo non nocere”, professional responsibility and shared decision making in high-stakes neurosurgery

Munthe, Christian

doi:10.1007/s00701-015-2384-x

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Articles on ethics and conflicts of interest (COI) ranged from general discussions of ethics in neurosurgery to very specific ethical questions. 152-178 Furr et al and Suskin and Giordano reviewed the topic of human head transplantation. 173,175 Four authors discussed informed consent.…”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of Professionalism in Neurosurgery

Mangham,

Parikh,

Motiwala

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: The Accreditation Council for Graduate Medical Education's Milestones provides a foundation for professionalism in residency training. Specific professionalism concepts from neurosurgery could augment and expand milestones for the specialty. We reviewed the current literature and identified professionalism concepts within the context of neurosurgical practice and training. METHODS: We used a scoping review methodology to search PubMed/MEDLINE and Scopus and identify English-language articles with the search terms “professionalism” and “neurosurgery.” We excluded articles that were not in English, not relevant to professionalism within neurosurgery, or could not be accessed. Non–peer-reviewed and qualitative publications, such as commentaries, were included in the review. RESULTS: A total of 193 articles were included in the review. We identified 6 professionalism themes among these results: professional identity (n = 53), burnout and wellness (n = 51), professional development (n = 34), ethics and conflicts of interest (n = 27), diversity and gender (n = 19), and misconduct (n = 9). CONCLUSION: These 6 concepts illustrate concerns that neurosurgeons have concerning professionalism. Diversity and gender, professional identity, and misconduct are not specifically addressed in the Accreditation Council for Graduate Medical Education's Milestones. This review could be used to aid the development of organizational policy statements on professionalism.

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Section: Resultsmentioning

confidence: 99%

“…164,172 Most of the publications in this category were qualitative in nature. 152,[156][157][158][159]161,162,167,171 Both the 1986 and 2008 AANS presidential addresses discussed ethics. 28,162 In his 1986 presidential speech, Patterson introduced the first AANS Code of Ethics.…”

Section: Ethics and Conflicts Of Interestmentioning

confidence: 99%

A Scoping Review of Professionalism in Neurosurgery

Mangham,

Parikh,

Motiwala

et al. 2023

Neurosurgery

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“…Although, even informed patients accepting neurological deficit for the benefit of longer survival may regret their decision if the outcome with neurological deficit is difficult to comprehend. The risk that a patient misunderstands the surgeon is a risk with surgery beyond maximal safe resection, as they most often lack the experience of neurological deficit and may perhaps idolize the difficult decision they face [ 31 ]. Still, a more person-centered care where the patient is considered a partner in the decision-making process may improve health outcomes and increase patient satisfaction [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Shared decision-making in neurosurgery: a scoping review

et al. 2021

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Background In modern neurosurgery, there are often several treatment alternatives, with different risks and benefits. Shared decision-making (SDM) has gained interest during the last decade, although SDM in the neurosurgical field is not widely studied. Therefore, the aim of this scoping review was to present the current landscape of SDM in neurosurgery. Methods A literature review was carried out in PubMed and Scopus. We used a search strategy based on keywords used in existing literature on SDM in neurosurgery. Full-text, peer-reviewed articles published from 2000 up to the search date February 16, 2021, with patients 18 years and older were included if articles evaluated SDM in neurosurgery from the patient’s perspective. Results We identified 22 articles whereof 7 covered vestibular schwannomas, 7 covered spinal surgery, and 4 covered gliomas. The other topics were brain metastases, benign brain lesions, Parkinson’s disease and evaluation of neurosurgical care. Different methods were used, with majority using forms, questionnaires, or interviews. Effects of SDM interventions were studied in 6 articles; the remaining articles explored factors influencing patients’ decisions or discussed SDM aids. Conclusion SDM is a tool to involve patients in the decision-making process and considers patients’ preferences and what the patients find important. This scoping review illustrates the relative lack of SDM in the neurosurgical literature. Even though results indicate potential benefit of SDM, the extent of influence on treatment, outcome, and patient’s satisfaction is still unknown. Finally, the use of decision aids may be a meaningful contribution to the SDM process.

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Kurt Goldstein and his nonlocationist thoughts on aphasia—a pioneer of early network theories at the beginning of the twentieth century?

Joswig

Hildebrandt

2017

Acta Neurochir

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The ethics of “primo non nocere”, professional responsibility and shared decision making in high-stakes neurosurgery

Cited by 3 publications

References 9 publications

A Scoping Review of Professionalism in Neurosurgery

A Scoping Review of Professionalism in Neurosurgery

Shared decision-making in neurosurgery: a scoping review

Kurt Goldstein and his nonlocationist thoughts on aphasia—a pioneer of early network theories at the beginning of the twentieth century?

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